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Join Philadelphia SHRM
Philadelphia Regional SHRM Chapter Designation Form
BUSINESS (will be used in a Directory publication except for email address)
*Name:
*Company:
*Title:
*Email:
*Address:
*City:
*State:
*Zip:
*Phone:
Website:
*Number of Employees:
REFERRED BY (If Yes, additional information is required)
*Were You Referred by Someone?
    
Name of Person who Referred You:
Email Address for Person who Referred You:
SHRM (SHRM membership is mandatory to become a member of Philadelphia SHRM)
*SHRM Member #:
*Philadelphia Member:
    
Renewal Date:
*New Member:
    
I authorize the Philadelphia SHRM Chapter (02) to register my local designation.
DEMOGRAPHICS: (Optional)
Gender:
    
Ethnicity:
                
Years of Experience:
                    
Primary Area
of Expertise:
Interested in Committee Involvement:
How did you hear about us?
Please indicate name:

               
* Indicates required field.
 
 
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Meet the Membership Committee:

Kevin Cameron
RSM McGladrey, Inc.

Stacey Rothenberger
Kaplan University

Mia Ferolito
Accenture

Joe Kozak
Charon Planning

Steve Petsis

New Members:

Gary Giosio
Philadelphia Gas Works

 
Copyright 2007 Philadelphia SHRM